Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brittany Ann Sugimoto, PA

Individual provider Physician Assistant · NPI 1871853317

Brittany Ann Sugimoto, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2012, 14 years ago. Practices with Mecklenburg Radiology Associates PA, a 94-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117
Phone: (704) 332-1291
Fax: (704) 926-1832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 E Morehead St, Charlotte, NC 28202-2788 — (704) 334-7800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-03712 (NC)

Record details

NPI number1871853317
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 17, 2012
Last updated in NPPESDecember 5, 2023
Certification dateSeptember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mecklenburg Radiology Associates Pa — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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